HomeMy WebLinkAbout0022183-Plumbing (toilet) CITY OF OSHKOSH N2 22183
PERMIT - APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG / r SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / 2 e'c' S ,/G.e__ Z
PLAN NO.
OWNER C_Cil-r
DESIGNER
USE /NATURE OF WORK /f_t._ - / 6.t.lep—yr, r " ` 1`
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss
BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
r
PLUMBING CONTRACTOR ..0-..
BT — WH Disp WSoft _ CBasin (.....3.,C____
- Lav Sh _ DW DF San. Sewer
/ INC — FDr _. SP _ Ur Storm Sewer
- Sink _ LTub _ Eject SS
Water
Other
FEES: Valuation $ -5-0 Permit Fee Paid $ /0 �- (2,--Z. Park Dedication $
ISSUED BY t--,--- _ Date //7/17/
Final /O. P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE � )r,f,r4 .154gr
AGENT /OWNER
DATE
ADDRESS
TELEPHONE #